使用视频头脉冲测试对单侧慢性中耳炎患者进行视野眼反射的评估
Gi-Sung Nam1, Seunghyun Han2, Sung Il Cho2
1Department of Otorhinolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Republic of Korea, entnamgi@gmail.com.
Audiology & neuro-otology
|March 7, 2024
概括
视频头脉冲测试 (vHIT) 显示慢性中耳炎 (COM) 患者的水平和后侧通道的前庭眼反射 (VOR) 增加减少. 这表明vHIT是评估COM患者内耳功能的实用工具.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经科学是一个神经科学.
- 垂体系统生理学 垂体系统生理学
背景情况:
- 慢性中耳炎 (COM) 可以影响内耳功能.
- 门廊评估对于了解COM对平衡的影响至关重要.
研究的目的:
- 用视频头脉冲测试 (vHIT) 评估前庭眼反射 (VOR) 在单边COM患者中.
- 为了比较受影响 (ipsilesional) 和不受影响 (contralesional) 耳朵之间的VOR参数.
主要方法:
- 在接受中耳外科手术的28名单边COM患者进行了手术前的vHIT.
- 分析的vHIT关键变量包括VOR增益,增益不对称性和纠正式冲击.
- 在水平,前置和后置半圆通道的ipsilesional和contralesional耳朵之间进行了比较.
主要成果:
- 虽然整体VOR增益在很大程度上处于正常范围内,但与收缩耳朵相比,在斜斜和后侧道观察到VOR增益的显著下降 (分别p=0.038和p=0.015).
- 在不同耳朵之间,纠正式动的发生率没有显著差异.
- 35.7%的患者报告了不平衡或头的症状.
结论:
- 在COM患者中,vHIT有效评估前庭功能.
- 该研究通过VOR评估量化证明了与慢性中耳感染相关的内耳病理生理学.
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